Evan James Agnetta
Orthodontists
6311 Kingston Pike Ste 26w
Knoxville
, Tennessee 37919-4900
Evan James Agnetta
Orthodontists
6311 Kingston Pike Ste 26w
Knoxville
, Tennessee 37919-4900
(208) 761-1210
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Evan James Agnetta
- 1205 Ives St
- Watertown, NY
- Zip : 13601-4216
- Phone : (208) 761-1210
Second Address
- Evan James Agnetta
- 6311 Kingston Pike Ste 26w
- Knoxville, TN
- Zip : 37919-4900
- Phone : (208) 761-1210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 0000011286 | TN |
National Provider Identifier
| NPI | 1013523703 |
|---|---|
| Provider Name | Evan James Agnetta |
| First Address | Watertown, NY 13601-4216 |
| Second Address | Knoxville, TN 37919-4900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2020 |
| Last Update Date | 18/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.